The PASRR Technical Assistance Center helps states fulfill the goals of Preadmission Screening and Resident Review

Resources

FAQ
NF
Jul 12, 2018
Need for nursing facility (NF) services is defined by individual states, all of whom establish NF level of care (LOC) criteria.
FAQ
Timing, Level I
Jul 7, 2018
According to  CFR 42-§483.102, a PASRR Level I screen must be completed for all applicants to a Medicaid-certified nursing facility, regardless of payer.
FAQ
Timing, Level II
Jul 7, 2018
Pre-Admission General Rule.  Under 42 CFR §483.102 (a), the PASRR process applies to all Medicaid-certified nursing facility (NF)
FAQ
Laws and Rules
Jul 7, 2018
The PASRR Final Rule (57 FR 56450) was published in 1992, at which time the term "mental retardation" was still widely used.
FAQ
Change in Condition, Level II
Jul 7, 2018
There is no federal requirement that a Level II evaluation be completed prior to the individual returning to the nursing facility (NF).
FAQ
Record Keeping, Timing
Jul 7, 2018
For a variety of reasons, including the availability of evaluators, it may not always be possible to perform a complete psychiatric evaluation on an individual before they are admitted to a nursing facility (NF).
FAQ
Level I, Personnel
Jul 7, 2018
There are no federal requirements regarding who must request Level I screens, but CFR 42-§483.102 is clear that all individuals who apply to reside in a Medicaid-cer
FAQ
IMD
Jun 5, 2018
Per the CFR, at 42 CFR 435.1010, an Institution for Mental Diseases (IMD) is a hospital, nursing facility, or other institution of more than 16 beds that is primar
FAQ
FFP, 75% Match
Jun 2, 2018
A Cost Allocation Plan (CAP) is a narrative description of the procedures that a state will use in identifying, measuring, and allocating costs that it incurs in supporting programs it administers or supervises.
FAQ
Level II, Federal Regulations, Intellectual Disability
Jun 2, 2018
According to 42 CFR 483.102(b)(3), an individual has an intellectual disability (previously mental retardation) if he or she has:
FAQ
Dementia
Apr 27, 2018
A Level II evaluation may be halted if the person has a diagnosis solely of dementia, or a diagnosis of dementia in combination with a non-PASRR disability. However, a Level II evaluation should not be halted if a PASRR disability has not yet been ruled out.
FAQ
Mental Illness
Apr 27, 2018
According to 42 CFR 483.102(b), a disorder qualifies as a mental illness (MI) for PASRR purposes if it satisfies three major criteria:
FAQ
Record Keeping
Apr 27, 2018
The Code of Federal Regulations (CFR) provides no specific guidance related to retention of PASRR records, but it does make clear that retention of PASRR records is a requirement.  The basis of the requirement is addressed in two areas cited a 
FAQ
Other Topics
Apr 27, 2018
Although Nursing Facilities (NFs) are primarily responsible for helping individuals transition to the community, PASRR can play a vital role in helping NFs develop individualized plans of care that support successful transition.
FAQ
Level II
Apr 27, 2018
There is a common misconception about this. The simple answer is "no" -- a test of intellectual functioning (IQ test) is not required by PASRR regulations.
FAQ
Hospice
Apr 17, 2018
The Code of Federal Regulations (CFR) at §483.130(d) provides examples of categories for which the State mental health or intellectual disability authority may make
FAQ
Categorical Determinations
Apr 10, 2018
42 CFR 483.130(h) provides that the State intellectual disability authority may make categorical determinations that individuals with dementia, whi
FAQ
Swing Beds
Apr 10, 2018
A swing bed is a bed that changes (or "swings") between providing hospital services and providing Medicare or Medicaid nursing facility services.
FAQ
Level I
Apr 10, 2018
Regardless of their known diagnoses, all individuals applying to a Medicaid-certified nursing facility (NF) must undergo a Level I screen to determine if the individual possibly has a condition meeting PASRR’s definition of  mental illness, intellectual disability or a related condition.  A person...

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